Unusual systemic conditions in a patient with giant cell arteritis

Giant cell arteritis is a systemic vasculitis that causes inflammation in medium- and large-sized blood vessels. The condition can lead to irreversible blindness if not recognised and treated promptly with high-dose steroids. Clinical manifestations typically include headache, jaw pain, fever, and fatigue. However, unusual manifestations of the disease have been reported, including pulmonary nodules, uveitis, pericarditis, and stroke. We report a case of biopsy-confirmed giant cell arteritis in a patient found to have renal cell carcinoma, exhibiting these unusual manifestations simultaneously. This case report demonstrates the atypical presentation that giant cell arteritis may have and the importance of having a high clinical suspicion for the condition.

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Publication Details

Journal
Modern Rheumatology Case Reports
Published
2025-01-01
DOI
https://doi.org/10.1093/mrcr/rxaf014
Primary Topic
Vasculitis and related conditions
Type
article
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article

Unusual systemic conditions in a patient with giant cell arteritis

Madhura A. Tamhankar, Grant T. Liu, Dario Marangoni, Alexander M. Solomon et al.
Modern Rheumatology Case Reports
Vasculitis and related conditions
article

Unusual systemic conditions in a patient with giant cell arteritis

Madhura A. Tamhankar, Grant T. Liu, Dario Marangoni, Alexander M. Solomon, Khalid El-Jack, Fawaz Naeem, Franz Fogt, Jenelle Safadi
article en

Abstract

Giant cell arteritis is a systemic vasculitis that causes inflammation in medium- and large-sized blood vessels. The condition can lead to irreversible blindness if not recognised and treated promptly with high-dose steroids. Clinical manifestations typically include headache, jaw pain, fever, and fatigue. However, unusual manifestations of the disease have been reported, including pulmonary nodules, uveitis, pericarditis, and stroke. We report a case of biopsy-confirmed giant cell arteritis in a patient found to have renal cell carcinoma, exhibiting these unusual manifestations simultaneously. This case report demonstrates the atypical presentation that giant cell arteritis may have and the importance of having a high clinical suspicion for the condition.

Modern Rheumatology Case ReportsVol. 9(2)
Penn Presbyterian Medical Center (US), University of Miami (US), University of Pennsylvania (US)
Good health and well-being
Openalex Percentile: Top 93%
Vasculitis and related conditions
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Unusual systemic conditions in a patient with giant cell arteritis — Madhura A. Tamhankar, Grant T. Liu, et al. · Modern Rheumatology Case Reports (2025) | TGRS Research Map | TGRS